Managing Managed Care

Our inequitable, inefficient, oftentimes uncaring health care "system," revealed. -- Jeffrey G. Kaplan, M.D., M.S.

Med. Newsletter / eBook

Be informed on reform; Newsletter + free eBook: "Mgd Care 101 in 2013" (No obligation)

Subscribe to Managing Managed Care newsletter feed

SSL Certificate

All Contents

Vit D; Reasonable Doses

This article is posted in: 

Warning: high doses of vitamin D isn't necessary and might possibly be harmful. It's time to rethink the levels. Not getting enough vitamin D?  No time or afraid to get too much sun exposure? Here's some evolving science or evidence of what you should or should not do:

Managed Care Mindset Results in a Coronary

This article is posted in: 

Was newscaster, Tim Russert’s sudden death at age 58 from a heart attack preventable? After all, he was being monitored as he was being treated for asymptomatic coronary artery disease. Unfortunately, his doctors did not realize the extent of it.  Indeed, Russert had performed well on a stress test a few months prior to his demise; he was exercising and was careful about  what he was eating.

In Diabetes, More is Less

Fri, 2015-03-13 08:16 -- fitdoc
This article is posted in: 

9 of 10 persons who have pre-diabetes are not aware it is causing damage. Thus, the "Centers for Disease Control and Prevention and the American Medical Association are calling on [physicians to increase] screening efforts and raise awareness about the risk factors for developing a full onset of the disease.” Congressional Quarterly (3/13/2015, Zanona, Subscription Publication)

Duh! Better Health Care Coverage--Better Health Care; Better Results

This article is posted in: 

Much of the work on health disparities and inequities in access focuses on comparisons between the insured and those without coverage; the uninsured come out wanting.  [Surprise] “Uninsurance is associated with mortality.” Uninsured persons have less access to services and suffer worse health outcomes than those insured. Breast Cancer patients suffer with a 30-50% higher mortality rate Accident victims have a 37% greater mortality rate (1)

If/When Reform Fails to Reform

This article is posted in: 

The editorial, "If Reform Fails," says the status quo of health care reform is immoral, impractical and unsustainable. What did we expect when the House approved "Health Overhaul, Sending Landmark Bill to Obama"?  Nothing!

Med School Doesn't Teach This

This article is posted in: 

What new docs need to know and never learned in medical or osteopathic school "10 Things Medical School Won't Tell You"  (WSJ, Pub. Oct 14, 2012 by Jonnelle Marte): Verbal and psychological abuse is commonplace and a rite of passage. Increasingly, an approach to stem errors is "holding all health care providers — including nurse practitioners, physician assistants and anesthesiologists — accountable for a group’s mistakes and encouraging them to speak up when something seems amiss."

Asthma & COPD Management

This article is posted in: 

In poorly controlled asthma or COPD in children or adults, what works best? Ans: Long-acting beta agonists (the ones with the warning*) are more effective than either monteleukast (Singulair) or doubled dosing inhaled corticosteroids.

Prevent 2/5 Cancers

This article is posted in: 

About 40% of cancers could be prevented were people to stop smoking and overeating, limit alcohol intake, exercise regularly and get vaccines that target cancer-causing infections (e.g., HPV, Hepatitis B).  For more information about this, pleaase explore: the International Union Against Cancer's, "UICC Population Survey of Cancer-related Beliefs and Behaviours" (PDF), the World Cancer Campaign, “Today’s children, tomorrow’s world” or contact directly.